The effects on student health of interventions modifying the school environment: systematic review

Bonell, Christopher; Wells, Helene; Harden, Angela; Jamal, Farah; Fletcher, Adam; Thomas, James; Campbell, Rona; Petticrew, Mark; Whitehead, Margaret; Murphy, Simon; Moore, Linda

doi:10.1136/jech-2012-202247

Cited by 63 publications

(47 citation statements)

References 39 publications

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“…Hence, recent decades have seen growing emphasis on preventing uptake of smoking among young people 2 . Interventions to influence adolescent smoking are often delivered via schools because they provide opportunities to reach most young people, while the norms and environments of schools’ can influence risk behaviours 3 , 4 . The ‘Health Promoting Schools’ framework, endorsed by the World Health Organization, 5 consistent with Ottawa Charter principles emphasizing the need to go beyond simplistic health education and toward creating healthier environments, 6 advocates multi-level approaches to health improvement, focused on integration of health into the curriculum alongside changes to the school’s social and physical environment.…”

Section: Introductionmentioning

confidence: 99%

Do stronger school smoking policies make a difference? Analysis of the health behaviour in school-aged children survey

Hallingberg

Fletcher

Murphy

et al. 2016

Eur J Public Health

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Background: Associations of the strength of school smoking policies with cigarette, e-cigarette and cannabis use in Wales were examined. Methods: Nationally representative cross-sectional survey of pupils aged 11–16 years (N=7376) in Wales. Senior management team members from 67 schools completed questionnaires about school smoking policies, substance use education and tobacco cessation initiatives. Multi-level, logistic regression analyses investigated self-reported cigarette, e-cigarette and cannabis use, for all students and those aged 15–16 years. Results: Prevalence of current smoking, e-cigarette use and cannabis use in the past month were 5.3%, 11.5% and 2.9%, respectively. Of schools that provided details about smoking policies (66/67), 39.4% were strong (written policy applied to everyone in all locations), 43.9% were moderate (written policy not applied to everyone in all locations) and 16.7% had no written policy. There was no evidence of an association of school smoking policies with pupils’ tobacco or e-cigarette use. However, students from schools with a moderate policy [OR = 0.47; 95% (confidence interval) CI: 0.26–0.84] were less likely to have used cannabis in the past month compared to schools with no written policy. This trend was stronger for students aged 15–16 years (moderate policy: OR = 0.42; 95% CI: 0.22–0.80; strong policy: OR = 0.45; 95% CI: 0.23–0.87). Conclusions: School smoking policies may exert less influence on young people’s smoking behaviours than they did during times of higher adolescent smoking prevalence. Longitudinal studies are needed to examine the potential influence of school smoking policies on cannabis use and mechanisms explaining this association.

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Section: Introductionmentioning

confidence: 99%

Do stronger school smoking policies make a difference? Analysis of the health behaviour in school-aged children survey

Hallingberg

Fletcher

Murphy

et al. 2016

Eur J Public Health

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“…That said, there is evidence from specific studies such as the randomised trials of the US Aban Aya and the Australian Gatehouse intervention that interventions including environmental components aiming to build social inclusion and student engagement within schools are more effective in reducing substance use than interventions including only classroom-based health education (Flay et al, 2004, Patton et al, 2006. There is also evidence from a recent systematic review that interventions addressing the school environment but not including classroom health education can be effective in reducing substance use outcomes (Bonell et al, 2013b).…”

Section: Quantitative Research On How the School Environment Influencmentioning

confidence: 98%

Where next with theory and research on how the school environment influences young people's substance use?

Bonell

Fletcher

Jamal³

et al. 2016

Health & Place

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“…(2) College students are a special population with different characters, such as a high education, open mind, and low-income sources. These factors all affect their daily food and nutrient selection, 9,10 leading to unhealthy dietary patterns such as meal skipping, the consumption of unhealthy snacks, and participation in unhealthy weight-loss diets, and so on. 11 (3) Diet assessment among college students is limited in China.…”

Section: Introductionmentioning

confidence: 99%

Development and Applicability of an Internet-Based Diet and Lifestyle Questionnaire for College Students in China

Du¹,

Jiang

Chen³

et al. 2015

Medicine

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Diet contributes to the increasing incidence of chronic diseases. Thus, fast, accurate, and convenient dietary assessment tools are in demand. We designed an internet-based diet and lifestyle questionnaire for Chinese (IDQC). The objective of this study was to validate its applicability and assess the dietary habits of Chinese college students.Six hundred forty-four college students from northern China were recruited and asked to complete the IDQC for the last 4 months (135 food items) and 3-day diet records (3DDRs). Food and nutrient intakes recorded in the IDQC were validated against those in the 3DDRs using the Wilcoxon matched-pairs t test, correlation analysis, and cross-classification. The Student t and χ2 tests were used in the dietary assessment.There were significantly positive correlations in the dietary intakes of 9 food groups and 23 nutrients between the IDQC and 3DDRs. All participants consumed low levels of fruits, vegetables, legumes, dairy, and certain micronutrients (ie, vitamin A, vitamin B1, vitamin B2, folic acid, vitamin C, calcium, selenium, and iodine), and high levels of iron and manganese. Male students consumed higher intakes of the food groups and nutrients than female students.The IDQC represents an accurate and convenient dietary assessment tool that can be used in large populations. Inadequate and excessive nutrition co-existed in college students, and more fruits, vegetables, legumes, dairy, and various vitamins and minerals were needed in this population's daily diet. The IDQC is free of access at www.yyjy365.org/diet.

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The effects on student health of interventions modifying the school environment: systematic review

Abstract: School environment interventions show the potential to improve young people's health particularly regarding violence, aggression and physical activity. Further trials are required to provide a stronger and more generalisable evidence base.

Cited by 63 publications

References 39 publications

Do stronger school smoking policies make a difference? Analysis of the health behaviour in school-aged children survey

Do stronger school smoking policies make a difference? Analysis of the health behaviour in school-aged children survey

Where next with theory and research on how the school environment influences young people's substance use?

Development and Applicability of an Internet-Based Diet and Lifestyle Questionnaire for College Students in China

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